Epidemiology and Society Health Review (ESHR)
Vol. 8 No. 1 (2026)

Meta-Analysis: Effectiveness of Enhanced Recovery After Caesarean Surgery (ERACS) on Length of Stay (LoS)

Sihombing, Pardomuan Robinson (Unknown)



Article Info

Publish Date
06 Feb 2026

Abstract

Background: Enhanced Recovery After Caesarean Surgery (ERACS) has evolved as a comprehensive perioperative care protocol to optimise patient recovery and reduce length of hospitalisation. Although individual studies show promising results, there has been no comprehensive meta-analysis of the effectiveness of ERACS on length of stay with a homogeneous methodology. This study aims to analyse the effectiveness of the ERACS protocol compared to conventional treatment on the length of hospitalisation through a systematic review and meta-analysis Method: A Systematic review was conducted following the PRISMA 2020 guidelines for studies that compared ERACS with conventional treatment in the section caesarea. Meta-analysis was performed using a random-effects model with the Jamovi software ESCI package. Heterogeneity was assessed using I² statistics, and sensitivity analysis was performed to test the robustness of the results. Results: Meta-analysis of 6 studies with a total of 820 subjects showed that the ERACS protocol significantly reduced the length of hospitalisation with a weighted mean difference of -21.6 hours (95% CI: -28.3 to -14.9, p = 0.001). Despite the high heterogeneity (I² = 99.5%), all studies showed consistent directional effects in favour of ERACS with a p-value of < 0.05 in all individual studies. Conclusion: Implementing the ERACS protocol provides significant clinical benefits in reducing the length of hospitalisation by almost 1 day compared to conventional treatment, with important implications for healthcare efficiency and cost-effectiveness.

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Journal Info

Abbrev

eshr

Publisher

Subject

Public Health

Description

Epidemiology and Society Health Review (ESHR) is aims to communicate research in the field of epidemiology and community health by publishing papers in high-quality science. This journal publishes an article in the field of epidemiology of the communicable disease, epidemiology of non-communicable ...